08/Jul/2022
FAST breast magnetic resonance imaging: a new approach for breast cancer screening?
DOI: 10.31744/einstein_journal/2022AO0073
ABSTRACT Objective To develop an abbreviated breast magnetic resonance imaging protocol (FAST) and to compare it with the complete protocol (FULL) to determine its diagnostic accuracy for detecting malignant or suspicious lesions (BI-RADS 4, 5 and 6) and the time required for image interpretation using BI-RADS categorization. Methods Retrospective study with 100 consecutive women who underwent breast magnetic resonance imaging between January and February 2014. All patients were submitted to a complete breast magnetic resonance imaging protocol, which was then […]
Keywords: Breast; FAST; Magnetic resonance imaging; Mass screening
08/Jul/2022
Cesarean rates according to the Robson classification: analysis in a municipal maternity in São Paulo
DOI: 10.31744/einstein_journal/2022AO0075
ABSTRACT Objective To investigate the distribution of parturients at Hospital Municipal da Vila Santa Catarina Dr. Gilson de Cássia Marques de Carvalho according to the Robson classification, identify the cesarean rate in each Robson Group, and understand which group contributes more to the prevalence of Cesarean sections. Methods This is a retrospective observational cross-sectional study conducted through the analysis of medical records of parturients admitted to Hospital Municipal da Vila Santa Catarina Dr. Gilson de Cássia Marques de Carvalho from […]
Keywords: Cesarean section; Cesarean section, repeat; Delivery of health care; Delivery, obstetric; Natural childbirth
05/Jul/2022
Effects of glucocorticoids on interstitial glucose concentrations in individuals with hematologic cancer and without known diagnosis of diabetes: a pilot study
einstein (São Paulo). 05/Jul/2022;20:eAO8031.
View Article05/Jul/2022
Effects of glucocorticoids on interstitial glucose concentrations in individuals with hematologic cancer and without known diagnosis of diabetes: a pilot study
DOI: 10.31744/einstein_journal/2022AO8031
ABSTRACT Objective To analyze interstitial glucose behavior during glucocorticoid use in non-diabetic patients receiving chemotherapy for hematologic malignancies. Methods Prospective pilot study carried out to assess interstitial glucose levels in 15 non-diabetic individuals with hematologic malignancies who received glucocorticoids in combination with chemotherapy. The FreeStyle Libre flash monitoring system (Abbott Diabetes Care) was used for up to 14 days to measure interstitial glucose. Results Median age and body mass index were 53 (42-61) years and 25 (23-28) kg/m2 respectively. Interstitial […]
Keywords: Blood glucose; Diabetes mellitus; Drug therapy; Glucocorticoids; Glucose; Hematologic neoplasms; Hyperglycemia; Lymphoma
28/Jun/2022
Ultrasonographic evaluation of cecal appendix diameter in pediatric population
DOI: 10.31744/einstein_journal/2022AO6935
ABSTRACT Objective To stratify ultrasound samples in a pediatric population undergoing evaluation for acute appendicitis to examine the variability in cecal appendix diameter, in different age groups, and to determine whether there is a prevalent value for each age group. Methods A retrospective cross-sectional study with 196 children aged 0 to 15 years. Data were extracted from reports of ultrasound examinations carried out between 2008 and 2015. Children with sonographic diagnosis of appendicitis or other signs of periappendiceal inflammation were […]
Keywords: Appendicitis/diagnostic imaging; Appendix; Child; Ultrasonography
28/Jun/2022
Use of potentially inappropriate medications and adverse events in older outpatients with acute conditions
DOI: 10.31744/einstein_journal/2022AO8024
ABSTRACT Objective To examine associations between potentially inappropriate medication, use and the risk of falls, unplanned hospitalization and death in older patients receiving initial care in a geriatric day hospital due to acute conditions. Methods Cohort study with older adults referred to a geriatric day hospital from 2014 to 2017 due to acute conditions. Patients were submitted to comprehensive geriatric assessment. Use of medications was analyzed according to Beers Criteria 2019. Outcome assessment was based on monthly follow-up telephone calls […]
Keywords: Aged; Drug-related side effects and adverse reactions; Frail elderly; Potentially inappropriate medication list
22/Jun/2022
Complications associated with the use of temporary pacemaker in patients waiting for definitive device implantation
DOI: 10.31744/einstein_journal/2022AO8013
ABSTRACT Objective To determine the rate of complications associated with the use of temporary pacemakers in patients in the waiting list for the definitive pacemaker implantation in a public hospital located in São Paulo, SP, Brazil. Methods Retrospective observational study based on data extracted from medical records of patients admitted to Hospital Municipal Dr. Moyses Deutsch, Hospital Israelita Albert Einstein from January 2014 to December 2018. Patients aged 18 years or older, diagnosed with high degree atrioventricular block upon admission […]
Keywords: Atrioventricular block; Cross infection; Hospitals, public; Longht of stay; Pacemaker, artificial; Public health
14/Jun/2022
Development and validation of predictive model for long-term hospitalization, readmission, and in-hospital death of patients over 60 years old
einstein (São Paulo). 14/Jun/2022;20:eAO8012.
View Article14/Jun/2022
Development and validation of predictive model for long-term hospitalization, readmission, and in-hospital death of patients over 60 years old
DOI: 10.31744/einstein_journal/2022AO8012
ABSTRACT Objective To develop and validate a high-risk predictive model that identifies, at least, one common adverse event in older population: early readmission (up to 30 days after discharge), long hospital stays (10 days or more) or in-hospital deaths. Methods This was a retrospective cohort study including patients aged 60 years or older (n=340) admitted at a 630-beds tertiary hospital, located in the city of São Paulo, Brazil. A predictive model of high-risk indication was developed by analyzing logistical regression […]
Keywords: Aging; Hospital mortality; Hospitalization; lenght of stay; Logistic models; Long-term care; Patient readmission
14/Jun/2022
Benign prostatic hyperplasia surgical treatment trends in the Public Health System in São Paulo, Brazil
DOI: 10.31744/einstein_journal/2022AO6880
ABSTRACT Objective To describe and compare the number of surgeries, mortality rate, length of hospital stay, and costs of transurethral resection of the prostate and open prostatectomy for the treatment of benign prostatic hyperplasia, between 2008 and 2018, in the Public Health System in São Paulo, Brazil. Methods Ecological and retrospective study using data from the informatics department of the Brazilian Public Health System database. Procedure codes were “open prostatectomy” and “transurethral resection of the prostate.” The outcomes analyzed were […]
Keywords: Length of stay; Mortality; Postoperative complications; Prostatectomy; Prostatic hyperplasia; Transurethral resection of prostate; Treatment outcome
01/Jun/2022
HIV, syphilis, hepatitis B and C in key populations: results of a 10-year cross-sectional study, Southern Brazil
DOI: 10.31744/einstein_journal/2022AO6934
ABSTRACT Objective: Although the development of prevention and treatment strategies for sexually transmitted infections in key groups has improved over the years, they still remain a challenge for health systems worldwide. In this context, the objective of this study is to assess the seroprevalence in the tested population, with an emphasis on key populations, aiming at identifying the participants’ profile and consequently the development of testing strategies. Methods: The present study analyzed the seroprevalence of HIV, syphilis, and hepatitis B […]
Keywords: Drug users; HIV; Homosexuality, male; Population groups; Sex workers; Sexual and gender minorities; Sexually transmitted diseases; Syphilis
01/Jun/2022
Exposure to glyphosate-based herbicide during early stages of development increases insulin sensitivity and causes liver inflammation in adult mice offspring
einstein (São Paulo). 01/Jun/2022;20:eAO6778.
View Article01/Jun/2022
Exposure to glyphosate-based herbicide during early stages of development increases insulin sensitivity and causes liver inflammation in adult mice offspring
DOI: 10.31744/einstein_journal/2022AO6778
ABSTRACT Objective: To investigate the effect of pre and postnatal exposure to a glyphosate-based herbicide on glucose metabolism and liver histology in adult F1 mice offspring. Methods: Female mice (C57Bl/6) received 0.5% of glyphosate (Roundup Original DI®) in drinking water or purified water (Glyphosate Group and Control Group respectively) during pregnancy and lactation. Offspring (F1) were submitted to glucose and insulin tolerance tests and euthanized on postnatal day 150. Body and plasma parameters, and liver histology were analyzed. Results: Exposure […]
Keywords: Endocrine disruptors; Glucose metabolism disorders; Glyphosate; Herbicides; Inbred C57BL; Inflammation; Mice
